Resource Tag: SAFETY PLAN
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Feasibility of peer-delivered suicide safety planning in the emergency department: Results from a pilot trial
Objective: The emergency department (ED) is an important site for suicide prevention efforts, and safety planning has been identified as a best practice for suicide prevention among ED patients at increased suicide risk. However, few ED clinicians are prepared to assess suicide risk or guide patients in the creation of safety plans. This study was a […]
Suicide intervention practices: What is being used by mental health clinicians and mental health allies?
Objective: Implementation of evidence-based suicide prevention is critical to prevent death by suicide. Contrary to previously held beliefs, interventions including contracting for safety, no-harm contracts, and no-suicide contracts are not best practices and are considered contraindicated. Little is known about the current use of best practices and contraindicated interventions for suicide prevention in community settings. Methods: Data […]
Comparative effectiveness of safety planning intervention with instrumental support calls (ISC) versus safety planning intervention with two-way text message caring contacts (CC) in adolescents and adults screening positive for suicide risk in emergency departments and primary care clinics: Protocol for a pragmatic randomized controlled trial
Background: Suicide is a leading cause of death in adolescents and adults in the US. Follow-up support delivered when patients return home after an emergency department (ED) or primary care encounter can significantly reduce suicidal ideation and attempts. Two follow-up models to augment usual care including the Safety Planning Intervention have high efficacy: Instrumental Support Calls […]
MYPLAN: A mobile phone application for supporting people at risk of suicide
Background: Safety plans have been suggested as an intervention for people at risk of suicide. Given the impulsive character of suicidal ideation, a safety plan in the format of a mobile phone application is likely to be more available and useful than traditional paper versions. Aims: The study describes MYPLAN, a mobile phone application designed to support […]
Veteran experiences with suicide ideation, suicide attempt, and social support in safety planning within the Department of Veterans Affairs
Introduction This evaluation examined the role of safety plans, one of a host of clinical suicide prevention interventions available for veterans through the United States Department of Veterans Affairs’ national network of health care facilities managed by the Veterans Health Administration (VHA). Materials and Methods Interviews were conducted with veterans who had experienced suicidal ideation […]
Suicide prevention: What does the evidence show for the effectiveness of safety planning for children and young people? A systematic scoping review
Introduction Suicide is a leading cause of death for children and young people and its prevention is a global priority. Many Mental Health Services employ safety planning as a brief intervention. There is some evidence of safety planning effectiveness for adults, but little is known about its effectiveness with young people. Aim To synthesize research […]
Adapted suicide safety plans to address self‑harm, suicidal ideation, and suicide behaviours in autistic adults: Protocol for a pilot randomised controlled trial
Background Suicide prevention is a national priority for the UK government. Autistic people are at greater risk of experiencing self-harm and suicidal thoughts and behaviours than the general population. Safety plans are widely used in suicide prevention but have not yet been designed with and for autistic people. We developed the first safety plan specifically […]
Adapted suicide safety plans to address self‑harm, suicidal ideation, and suicide behaviours in autistic adults: Protocol for a pilot randomised controlled trial
Background Suicide prevention is a national priority for the UK government. Autistic people are at greater risk of experiencing self-harm and suicidal thoughts and behaviours than the general population. Safety plans are widely used in suicide prevention but have not yet been designed with and for autistic people. We developed the first safety plan specifically […]
Effectiveness of suicide safety planning interventions: A systematic review informing occupational therapy
Background. Suicide safety planning (SSP) is a suicide prevention approach that involves developing a collaborative plan between a service provider such as an occupational therapist and a person who is at risk of suicide. Purpose. To synthesize effectiveness studies on SSP. Method. Using the Joanna Briggs Institute methodology, we conducted a systematic review of effectiveness studies including a: […]
Innovative suicide prevention safety planning in the ED involves peers
Observing that the emergency department (ED) is an important site for suicide prevention efforts and noting that safety planning has been identified as a best practice for suicide prevention among ED patients at increased suicide risk, researchers have embarked on first-time research examining such efforts.
Safety planning on crisis lines: Feasibility, acceptability, and perceived helpfulness of a brief intervention to mitigate future suicide risk
Background The role of crisis hotlines traditionally was limited to de-escalation and service linkage. However, hotlines are increasingly recruited to provide outreach and follow-up to suicidal individuals. Hotlines have the opportunity to not just defuse current crises but also provide brief interventions to mitigate future risk. The Safety Planning Intervention (SPI) is a brief intervention […]
Suicide risk assessment and safety planning in integrated primary care settings: Recommendations for behavioral health consultants
Primary care is an important setting for improving identification and treatment of people at risk for suicide. However, there are few standardized protocols for management of suicide risk in primary care. In this paper, we outline evidence-based practice considerations for behavioral health consultants (BHCs) tasked with conducting suicide risk assessments and safety planning interventions in […]
Effectiveness of suicide safety planning interventions: A systematic review informing occupational therapy
Background. Suicide safety planning (SSP) is a suicide prevention approach that involves developing a collaborative plan between a service provider such as an occupational therapist and a person who is at risk of suicide. Purpose. To synthesize effectiveness studies on SSP. Method. Using the Joanna Briggs Institute methodology, we conducted a systematic review of effectiveness studies including a: (1) title […]
LINC to Life: Evaluation of a safety planning training program with clinicians and mental health staff
Suicide rates continue to rise, and clinicians and mental health staff play a critical role in keeping suicidal clients safe. Safety planning, including means safety, may help to decrease suicide risk. Unfortunately, availability and evaluation of safety planning training for these providers are scarce. The goal of the present study was to evaluate a safety […]
The effectiveness of the safety planning intervention for adults experiencing suicide-related distress: A systematic review
The safety planning intervention (SPI) is gaining momentum in suicide prevention practice and research. This systematic review sought to determine the effectiveness of the SPI for adults experiencing suicide-related distress. Systematic searches of international, peer-reviewed literature were conducted in six databases (Cochrane Trials, Embase, Emcare, Medline, PsycINFO and Web of Science), including terms for safety […]
Staff perspectives of safety planning as a suicide prevention intervention for people of refugee and asylum-seeker background: A qualitative investigation
Background: Safety planning involves the co-development of a personalized list of coping strategies to prevent a suicide crisis. Aims: We explored the perspectives of workers regarding safety planning as a suicide prevention strategy for people of refugee background and those seeking asylum in Australia. Method: Participants attended suicide prevention training, specific to refugees and asylum seekers, at which safety planning […]
After screening: A developmentally informed approach to safety planning and stabilization (IN: Youth Suicide Prevention and Intervention, edited by J.P. Ackerman & L.M. Horowitz)
Although the last several years have been marked by significant advances in intervention efforts for youth suicide prevention, suicide remains the second leading cause of death among this age group in the United States. We discuss promising results from intervention research with the goal of informing policies for enhancing suicide prevention care for youth. Additionally, […]
Safety planning and lethal means counseling with youth (IN: Youth Suicide Prevention and Intervention, edited by J.P. Ackerman & L.M. Horowitz)
Lethal means counseling and safety planning (i.e., a written list of individualized coping strategies and sources of support) are empirically supported strategies to prevent suicidal behavior. Both approaches are often prescribed as ways to manage clients’ risk of suicide. However, there is limited guidance on how to effectively implement these strategies with youth. In this […]
Safety planning-type interventions for suicide prevention: Meta-analysis
Background: Safety planning-type interventions (SPTIs) for patients at risk of suicide are often used in clinical practice, but it is unclear whether these interventions are effective. Aims: This article reports on a meta-analysis of studies that have evaluated the effectiveness of SPTIs in reducing suicidal behaviour and ideation. Method: We searched Medline, EMBASE, PsycINFO, Web […]
Suicide safety planning: Clinician training, comfort, and safety plan utilization
Extant literature has demonstrated that suicide safety planning is an efficacious intervention for reducing patient risk for suicide-related behaviors. However, little is known about factors that may impact the effectiveness of the intervention, such as provider training and comfort, use of specific safety plan elements, circumstances under which providers choose to use safety planning, and […]
Safety planning to manage suicide risk with older adults: Case examples and recommendations
Adults age 65 and older have high rates of suicide, despite recent efforts to reduce the suicide rate in this population. One suicide prevention strategy with burgeoning empirical support is safety planning; however, there is a lack of information and resources on safety planning for older adults to support uptake of this evidence-based practice in […]
Why does safety planning prevent suicidal behavior?
Safety planning interventions have demonstrated efficacy in reducing suicidal ideation, suicide attempts, and death by suicide. Less is known, however, about potential mechanisms underlying the effectiveness of safety plans. The present manuscript provides an overview of the steps involved in safety planning, reviews literature demonstrating its efficacy, and proposes seven potential factors that may explain […]
Feasibility of peer-delivered suicide safety planning in the emergency department: Results from a pilot trial
Objective: The emergency department (ED) is an important site for suicide prevention efforts, and safety planning has been identified as a best practice for suicide prevention among ED patients at increased suicide risk. However, few ED clinicians are prepared to assess suicide risk or guide patients in the creation of safety plans. This study was […]